Clinical update

ReSPECT - the emergency care planning tool

A new tool has been developed to help nurses discuss with a patient the care they may wish to receive in an emergency, including cardiopulmonary resuscitation (CPR).

Essential facts

The Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) creates recommendations for a person’s clinical care in a future emergency in which they are unable to make or express choices.

The form has been developed in the light of concerns about Do Not Attempt Resuscitation decisions and documents.

Focusing only on withholding CPR from people who are dying or for whom CPR would offer no benefit has resulted in misunderstandings and poor communication and documentation, stakeholders say.

The latest version of the Resuscitation Council’s guidance, Decisions Relating to CPR, calls for more advance planning, good communication, shared decision-making and good documentation.

The

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